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Repeal of the Federal Annual Fee on Health Insurance Providers

WebDuring the 2021 legislative session of the New Mexico Legislature, the State of New Mexico enacted legislation that created a new “Health Care Affordability Fund” …

Actived: 5 days ago

URL: https://forc.org/public/journals/2021/articles/summer/Vol32Ed2Article3.aspx

Cybersecurity and Data Privacy in the Insurance Industry

WebInsurance regulators across the country have taken note of high-profile breaches involving U.S. insurers and have made cybersecurity and consumer data …

Category:  Health Go Health

Review of the States' Surprise Billing Laws and Efforts to Find a …

WebNew York, the first state in the nation to pass legislation on surprise billing, in 2015, requires that plans must not only come up with a “reasonable” payment amount, but also show …

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NJ's Out of Network Consumer Protection, Transparency, Cost

WebThe Out-Of-Network Consumer Protection, Transparency, Cost Containment, and Accountability Act, P.L. 2018, c. 32 (codified at N.J.S.A. 26:2SS-1 to -20), (“NJ Act”), …

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INSURANCE BROKER COMPENSATION IN A PATIENT …

WebOne of the key components of the Patient Protection and Affordable Care Act (“PPACA”) is the minimum medical loss ratio (“MLR”) requirement. Under PPACA, health insurance …

Category:  Medical Go Health

OVERVIEW OF THE REGULATORY AND COMPLIANCE …

WebUp until the 1990s, most insurance producers, agents and brokers [1] transacted business on a local or regional basis, with only the larger agents and brokers transacting business …

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UTAH'S FEDERAL AND STATE HIGH RISK POOLS AND THEIR …

WebWhile the premiums are higher in HIPUtah, Utah has managed to subsidize at a level that the state can afford to maintain. This has been done even though Utah's budget and …

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DISPARATE IMPACT AND UNFAIR DISCRIMINATION IN …

WebThe term “unfair discrimination” has a special meaning in state insurance laws and is unrelated to “disparate impact”, a legal theory of liability first adopted by the U.S. …

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FLORIDA ASSIGNMENT OF BENEFIT ABUSE: RECENT …

WebRECENT DEVELOPMENTS. The debate in Florida over a controversial practice known as Assignment of Benefits, otherwise known as “AOB,” has ramped up in …

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NEW MEXICO’S SURPRISE BILLING PROTECTION ACT

WebIn 2019, the New Mexico Legislature passed, and the Governor signed into law, the new Surprise Billing Protection Act. This new law provides for a defined way for health …

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LEARNING FROM PAST EXPERIENCE: THE LONG-TERM CARE …

WebThe long-term care insurance (“LTCi”) market has grown significantly since the first LTCi policies were marketed over 30 years ago. In those days Americans were spending less …

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HEALTHCARE REFORM AND SMALL EMPLOYER STOP LOSS …

WebTraditionally, within the health care arena, stop loss insurance insures an employer or its group health plan against extreme losses. Under a stop loss insurance …

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WHY INSURANCE PRODUCERS SHOULD NOT BE SUBJECT TO A …

WebAn insurance producer is defined as “a person that, for compensation, sells, solicits, or negotiates insurance contracts, including contracts for nonprofit health service plans, …

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THE PPACA CO-OP PROGRAM

WebIn general, the Secretary of Health and Human Services ("Secretary") is tasked with establishing the Consumer Operated and Oriented Plan ("CO-OP" program") to carry out …

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THE COLORADO OPTION STANDARDIZED HEALTH BENEFIT PLAN

WebThe Commissioner of Insurance (“Commissioner”) is allowed to update the standardized plan annually through the rulemaking process. He is required to contract with an …

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NAIC PASSES PET INSURANCE MODEL ACT

WebKey Elements. The new model act establishes regulatory standards for the pet insurance industry. The key elements of the new model act include: Consumer protections: The …

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A SUMMARY OF ILLINOIS INSURANCE EFFECTIVE JANUARY 1, …

WebBelow is a list of Illinois insurance legislation that became law effective on January 1, 2023. This insurance legislation, passed by the 102 nd Illinois General Assembly during 2022, …

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NAIC REVIEW OF LIMITED LINES PRODUCER LICENSES

WebA current review of the NAIC's Compendium of State Laws On Insurance Topics 1 reveals approximately fifty-five (55) different types of limited lines licenses available in the …

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THE FUTURE OF INSURANCE RESCISSION

WebThe term "rescission" can be generally described as the cancellation or abrogation of an agreement or contract, effective from its inception, returning the parties …

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TAKEAWAYS FROM OCTOBER 18, 2018 AETNA PUBLIC HEARING …

WebI attended the public hearing on the CVS-Aetna merger at New York's Department of Financial Services on October 18, 2018. I listened intently to the opening remarks of …

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ACCIDENT AND HEALTH THIRD PARTY ADMINISTRATOR …

WebModel Law 90-1, the Third Party Administrator Statute adopted by the National Association of Insurance Commissioners ("NAIC"), generally requires third party administrators …

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